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Inspection Summary


Overall summary & rating

Good

Updated 23 January 2018

This is a small care home which can accommodate up to seven people with learning disabilities, autistic spectrum disorder or a mental health illness for younger or older people. It is located in Wardle which is on the outskirts of Rochdale. At the time of the inspection there were three people accommodated at the home.

The service did not have a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are 'registered persons'. Registered persons have a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. However, since the last manager left another person had been employed who had submitted all the required documentation to the CQC and was awaiting an interview for registration. This person was supported at the inspection by an area manager and other management staff.

We brought this inspection forward because of a complaint made by the member of the public..

The service used the local authority safeguarding procedures to report any safeguarding concerns. Staff had been trained in safeguarding topics and were aware of their responsibilities to report any possible abuse.

Recruitment procedures were robust and ensured new staff should be safe to work with vulnerable adults.

The administration of medicines was safe. Staff had been trained in the administration of medicines and had up to date policies and procedures to follow.

The home was clean, tidy and homely in character. The environment was maintained at a good level and homely in character.

There were systems in place to prevent the spread of infection. Staff were trained in infection control and provided with the necessary equipment and hand washing facilities. This helped to protect the health and welfare of staff and people who used the service.

Electrical and gas appliances were serviced regularly. Each person had a personal emergency evacuation plan (PEEP) and there was a business plan for any unforeseen emergencies.

People were given choices in the food they ate and where appropriate supported to shop or assist to make the meals. People were encouraged to eat and drink to ensure they were hydrated and well fed.

Most staff had been trained in the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). The registered manager was aware of her responsibilities of how to apply for any best interest decisions under the Mental Capacity Act (2005) and followed the correct procedures using independent professionals.

New staff received induction training to provide them with the skills to care for people. Staff files and the training matrix showed staff had undertaken sufficient training to meet the needs of people and they were supervised regularly to check their competence. Supervision sessions also gave staff the opportunity to discuss their work and ask for any training they felt necessary.

We observed there were good interactions between staff and people who used the service.

We saw from our observations of staff and records that people who used the service were given choices in many aspects of their lives and helped to remain independent where possible.

We saw that the quality of care plans gave staff sufficient information to look after people accommodated at the care home and they were regularly reviewed. Plans of care contained people’s personal preferences so they could be treated as individuals.

Management conducted audits of the service and completed action plans to improve the service.

Inspection areas

Safe

Good

Updated 23 January 2018

The service was safe.

The service used the local authority safeguarding procedures to report any safeguarding issues. Staff had been trained in safeguarding topics and were aware of their responsibilities to report any possible abuse.

Arrangements were in place to ensure medicines were safely administered. Staff had been trained in medicines administration and managers audited the system and staff competence.

Staff were recruited robustly to ensure they were safe to work with vulnerable adults.

Effective

Good

Updated 23 January 2018

The service was effective.

Staff understood their responsibilities under the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). Staff had been trained in the MCA and DoLS and should recognise what a deprivation of liberty is or how they must protect people�s rights.

People were given a nutritious diet and supported to take foods suitable to their needs.

Induction, training and supervision gave staff the knowledge and support they needed to satisfactorily care for the people who used the service.

Caring

Good

Updated 23 January 2018

The service was caring.

We saw that staff had a kind and caring attitude with people who used the service.

We saw visitors were welcomed into the home and people could see their visitors in private if they wished.

We saw that people were offered choice in many aspects of their lives and told us they felt they were treated with dignity.

Responsive

Good

Updated 23 January 2018

The service was responsive.

There was a suitable complaints procedure for people to voice their concerns.

People were able to join in activities suitable to their age, gender and ethnicity. Staff took time to ensure any activities were suitable for each person.

Plans of care were regularly reviewed and contained sufficient details for staff to deliver their care.

Well-led

Good

Updated 23 January 2018

The service was well-led.

There were systems in place to monitor the quality of care and service provision at this care home.

Policies, procedures and other relevant documents were reviewed regularly to help ensure staff had up to date information.

Staff told us they thought the new manager was supportive and led the service with a hands on approach.